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Rural Health
Resources by Topic: Emergency department and urgent care services

Improving Rural Health Through Telehealth-Guided Provider-to-Provider Communication
Presents the results of a comprehensive literature review to identify, summarize, and evaluate available research on the contributions of rural provider-to-provider telehealth communication and collaboration in addressing health disparities, and improving the health of rural populations. Topics cover the specific applications, effectiveness, implementation, sustainability, and barriers and facilitators of provider-to-provider telehealth in rural areas.
Additional links: Executive Summary, Full Report, Telehealth's Potential To Benefit Rural Healthcare Delivery: Infographic 1, Telehealth's Potential To Benefit Rural Healthcare Delivery: Infographic 2
Author(s): Annette Totten, Dana M. Womack, Marian S. McDonagh, et al.
Date: 12/2022
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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National Hospital Ambulatory Medical Care Survey: 2020 Emergency Department Summary Tables
Provides data on ambulatory care emergency department (ED) hospital visits. Table 1 provides metropolitan/nonmetropolitan ED visit data based on hospital location.
Date: 12/2022
Type: Document
Sponsoring organization: National Center for Health Statistics
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Racial and Ethnic Differences in Emergency Department Visits Related to Substance Use Disorders, 2019
Explores emergency department (ED) visits related to substance use disorders (SUD) using data from the 2019 Nationwide Emergency Department Sample (NEDS). Presents the number and percentage of SUD-related ED visits by race and ethnicity for selected patient characteristics, including sex, age group, rural/urban location, and the social vulnerability of the county in which the individual resides.
Date: 12/2022
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Emergency Department Visits for Diagnoses Directly Indicating Heat Exposure: Variation Across Counties in the United States, 2016–2020
Provides statistics on emergency department (ED) visits from 2016 to 2020 due to heat exposure. Provides data by rural, micropolitan, small and medium metro, and large metro county and includes U.S. maps showing concentration areas of ED visits as well as state-by-state data of ED visits.
Author(s): PL Owens, ML Barrett, KW McDermott
Date: 12/2022
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Patterns of Health Care Use among Rural-Urban Medicare Beneficiaries Age 85 and Older, 2010-2017
Policy brief examining how rural and urban Medicare beneficiaries age 85+ differ in terms of their socioeconomic and health characteristics that may inform healthcare use. Features statistics on trends in healthcare use, including inpatient and emergency department care, outpatient and prescription services, specialists and dentists, and home health and durable medical equipment, with breakdowns by urban and rural location.
Author(s): Yvonne Jonk, Heidi O'Connor, Amanda Burgess, Carly Milkowski
Date: 11/2022
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Small Rural Hospitals with Low-Volume Emergency Departments that May Convert to a Rural Emergency Hospital (REH)
Explores a variety of characteristics of Critical Access Hospitals (CAHs) and rural hospitals eligible to convert to the Rural Emergency Hospital (REH) designation, including patient volume, services and technology, EMS, and clinical staffing characteristics. Compares eligible hospitals by emergency department volume in 2019. Summarizes observations made by emergency department physician advisers regarding this data and REH implementation concerns.
Author(s): Margaret Greenwood-Ericksen, TJ Grant, Susie Gurzenda, et al.
Date: 10/2022
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Changes in Emergency Department Visits in the Initial Period of the COVID-19 Pandemic (April–December 2020), 29 States
Presents data from 29 states on the difference between the number of emergency department (ED) visits and ED admission rates between April and December 2020 and compares this data to the same time period in 2019. Includes data by patient characteristics, including urban-rural status and race/ethnicity.
Date: 10/2022
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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'Filling the Cracks': How a Rural Maine Community Kept its 24/7 Urgent Care Open with Paramedics
Features a pilot program serving rural Maine where paramedics take shifts staffing the local health center after-hours and on weekends.
Author(s): Gretel Kauffman
Citation: Rural Monitor
Date: 10/2022
Type: Document
Sponsoring organization: Rural Health Information Hub
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Suicide and Self-Harm in Youth Presenting to a US Rural Hospital During COVID-19
Presents a study on rural emergency department utilization and hospital admission for suicide or self-harm in children ages 5 to 17 during the COVID-19 pandemic. Analyzes hospital data from January, 2017 to May 2021. Breaks down data by demographic factors, such as race, gender, and rurality, as well as length of stay and visit type, among other measures.
Author(s): Mary Arakelyan, Jennifer A. Emond, JoAnna K. Leyenaar
Citation: Hospital Pediatrics, 12(10), e336–e342
Date: 10/2022
Type: Document
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Availability of Hospital-Based Emergency Department and Trauma Services in Minoritized Racial/Ethnic Group Areas
Explores the availability of hospital-based emergency department and trauma services nationwide across ZIP Code Tabulation Areas (ZCTAs) categorized by rurality and racial and ethnic composition. Provides data on the median distance to the nearest emergency department and trauma service by rurality in minoritized and non-minoritized ZCTA and the percent of ZCTAs more than 30 miles from emergency department and trauma services by Census region.
Author(s): Nabil Natafgi, Peiyin Hung, Whitney E. Zahnd, et al.
Date: 09/2022
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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